
<div class="modal-header">
	<button type="button" class="close" data-dismiss="modal"
		aria-hidden="true">x</button>
	<h3 id="myModalLabel">Edit Job</h3>
</div>
<form class="cmxform" id="jobForm" method="post" action="">
	<div class="modal-body">
		<table class="table table-bordered">
			<tr>
				<td>Job ID</td>
				<td><input type="text" name="jobID" maxlength="25"
					value="JB-101-1213"></td>
			</tr>
			<tr>
				<td>Person Name</td>
				<td><input type="text" name="personName" maxlength="20"
					value="Shah Dhaval"></td>
			</tr>
			<tr>
				<td>Company Name</td>
				<td><input type="text" name="companyName" maxlength="25"
					value="My Company"></td>
			</tr>
			<tr>
				<td>Port of Discharge</td>
				<td><input type="text" name="portofDischarge" maxlength="25"
					value="Jakarta"></td>
			</tr>
		</table>
	</div>
	<div class="modal-footer" id="buttonDiv">
		<button class="btn btn-primary" type="submit" id="saveEntry">Save
			& Close</button>
		<button class="btn" data-dismiss="modal" aria-hidden="true"
			id="closeMe">Close</button>
	</div>
</form>